2023-11-14T09:33:47-06:00 2022-12-31 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-01-01 570359174 ANMED HEALTH ANME 8645121000 800 NORTH FANT STREET ANDERSON SC 29621 CHRISTINE PEARSON CFO 8645121000 2023-11-14 1 CHRISTINE PEARSON 999009999 0 AMY BIBBY P00445891 8282542254 2023-11-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z WILLIAM KENLEY CEO 800 NORTH FANT STREET ANDERSON SC 29621 683522846 0 X WWW.ANMEDHEALTH.ORG X 1906 SC OPERATION OF A HEALTHCARE SYSTEM INCLUDING A WIDE RANGE OF MEDICAL SERVICES 15 11 4196 0 0 734541 10545286 12014309 667450636 640992207 45712853 23165415 4695907 5455058 728404682 681626989 1646735 728449 0 0 300367666 310457125 0 0 0 356218257 342806889 658232658 653992463 70172024 27634526 1245907620 1100222257 380427405 321274436 865480215 778947821 X THE MISSION OF ANMED IS TO PROVIDE EXCEPTIONAL AND COMPASSIONATE CARE TO ALL WE SERVE. 0 0 610669643 728449 641770592 ANMED HEALTH IS A HEALTHCARE SYSTEM PROVIDING A FULL RANGE OF ACUTE CARE SERVICES FOR MEDICAL, SURGICAL, PEDIATRIC, OBSTETRIC, PSYCHIATRIC, AND REHABILITATION PATIENTS, AS WELL AS SPECIALIZED CARE IN ITS INTENSIVE CARE AND CORONARY CARE UNITS. TO SUPPORT THESE INPATIENT SERVICES, ANMED HEALTH OFFERS A NORMAL COMPLEMENT OF DIAGNOSTIC AND ANCILLARY SERVICES. TWO SEPARATELY LICENSED FACILITIES ARE OPERATED BY ANMED HEALTH: 1) ANMED HEALTH MEDICAL CENTER IS A 461 BED FACILITY THAT OFFERS THE LATEST IN MEDICAL AND SURGICAL SERVICES. A MEDICAL STAFF OF OVER 400 PHYSICIANS PROVIDES HIGH QUALITY CARE TO THE PATIENTS AT THE MEDICAL CENTER. OPEN HEART SURGERY, VASCULAR SURGERY, GENERAL SURGERY, EMERGENCY/TRAUMA MEDICINE, A NEUROLOGICAL/STROKE CENTER, THE LATEST IN DIAGNOSTIC MRI, CT AND LABORATORY MEDICINE ARE AVAILABLE. 2) ANMED HEALTH WOMEN'S AND CHILDREN'S HOSPITAL IS A 72 BED ALL-PRIVATE ROOM FACILITY OFFERING INPATIENT CARE FOR LABOR/DELIVERY, WOMEN'S ELECTIVE SURGERY AND CHILDREN. THIS HOSPITAL INCLUDES DEDICATED UNITS FOR LABOR/DELIVERY, MOTHER/BABY, WOMEN'S ELECTIVE SURGERY AND PEDIATRICS. ON THE FIRST FLOOR, PHYSICIAN'S OFFICES, A LEARNING CENTER, CAFE, COMMUNITY MEETING ROOMS AND RETAIL SHOPS MAKE VISITORS FEEL WELCOME WITH A WEALTH OF RESOURCES. TO SUPPORT THESE INPATIENT SERVICES, ANMED HEALTH OFFERS A NORMAL COMPLEMENT OF DIAGNOSTIC AND ANCILLARY SERVICES.ADDITIONALLY, ANMED HEALTH OFFERS OUTPATIENT SERVICES AT D.K. OGLESBY CENTER AT THE ANMED HEALTH NORTH CAMPUS AND HAS SEVERAL CLINICS LOCATED IN ANDERSON, IVA, CLEMSON, HONEA PATH, PENDLETON, PIEDMONT, WILLIAMSTON AND WREN, SOUTH CAROLINA AND IN HARTWELL , GEORGIA. 610669643 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 95 0 1 4196 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 15 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X CHRISTINE PEARSON 8645121104 800 N FANT STREET ANDERSON SC 29621 X BILL KIBLER PAST CHAIR 1.00 2.00 X 0 0 0 TERENCE ROBERTS CHAIR 1.00 2.00 X 0 0 0 GEORGE ACKER VICE CHAIR 1.00 1.00 X 0 0 0 CLARK ANDERSON BOARD MEMBER 1.00 1.00 X 0 0 0 JAMES T BOSEMAN BOARD MEMBER 1.00 1.00 X 0 0 0 EMILY DEROBERTS BOARD MEMBER 1.00 1.00 X 0 0 0 ROBERT RAINEY BOARD MEMBER 1.00 1.00 X 0 0 0 CHARLES THORNTON JR BOARD MEMBER 1.00 1.00 X 0 0 0 DR EVANS WHITAKER BOARD MEMBER 1.00 1.00 X 0 0 0 DR CHRIS PRZIREMBEL BOARD MEMBER 1.00 1.00 X 0 0 0 DR SYED MALIK DIRECTOR / PHYSICIAN / EX-OFFICIO 1.00 1.00 X 761921 0 43253 DR STEPHEN HAND DIRECTOR / PHYSICIAN 1.00 1.00 X 580713 0 36710 DR MELODY FRANKS DIRECTOR / PHYSICIAN 49.00 1.00 X 407726 0 85585 DR MATT ELLIOTT DIRECTOR / PHYSICIAN / EX-OFFICIO 1.00 1.00 X 0 0 0 WILLIAM KENLEY CEO PRESIDENT/CEO 46.00 4.00 X 1217466 0 343576 CHRISTINE PEARSON CHIEF FINANCIAL OFFICER 49.00 1.00 X 665056 0 172279 TINA JURY CHIEF HOSPITAL OFFICER 50.00 X 320132 0 16180 SCOTT WEISKITTEL CHIEF HOSPITAL OFFICER 50.00 X 116671 0 32274 SHAUNDA TROTTER VP CNO 50.00 X 405445 0 94226 DR BRAD MOCK CHIEF PHYSICIAN EXECUTIVE 49.00 1.00 X 610481 0 167922 RICKY HENDERSON PHYSICIAN 50.00 X 1148626 0 33469 JAY NAYAK PHYSICIAN 50.00 X 2264865 0 40210 AARON MACDONALD PHYSICIAN 50.00 X 1315429 0 46173 KUMAR PATEL PHYSICIAN 50.00 X 1339664 0 40276 JEFFREY DELO PHYSICIAN 50.00 X 1907934 0 36514 13062129 0 1188647 487 0 1 0 INCOMPASS HEALTH INC 318 MAXWELL RD SUITE 500 ALPHARETTA GA 30009 HOSPITALIST PHYSICIANS 9574752 ANESTHESIOLOGY SERVICES OF ANDERSON PA PO BOX 1657 ANDERSON SC 29621 CONTRACT ANESTHESIOLOGISTS 1948628 LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON NC 272162140 REFERRED TESTING 1254150 BIO-MEDICAL APPLICATIONS OF SC INC PO BOX 101518 ATLANTA GA 30392 DIALYSIS 1055224 INVIVO MOLECULAR IMAGING LLC PO BOX 8545 GRAY TN 30392 MOBILE PET SERVICES 902957 18 8489522 3524787 12014309 NET PATIENT SERVICE 621400 640711842 640711842 ANCILLARY SERVICES 900099 280365 266441 13924 640992207 12722989 12722989 1570607 1895857 -325250 -325250 -325250 10442426 0 10442426 10442426 10442426 MISCELLANEOUS REVENUE 900099 2684483 2684483 CAFETERIA & VENDING 900099 2303516 2303516 PURCHASE DISCOUNTS 900099 792309 792309 5780308 681626989 641770592 0 27842088 X 682934 682934 45515 45515 5085611 4068490 1017121 255948051 230814687 25133364 7592061 6832207 759854 25136599 22620794 2515805 16694803 15023898 1670905 814000 814000 111000 111000 1552767 1552767 84370480 79994993 4375487 3344907 3344907 4440464 4440464 6220084 6220084 8350292 8350292 44206570 44206570 5952096 5952096 MEDICAL SUPPLIES 122914254 122914254 BAD DEBT EXPENSE 44492185 44492185 MISCELLANEOUS EXPENSES 16036791 10664274 5372517 ENVIRONMENTAL CONTROL 999 999 653992463 610669643 43322820 0 90355032 19694142 63795918 61769869 10973795 10625917 9603811 7935943 923931158 632226015 258969567 291705143 757468958 657645958 10909937 9321680 43830602 41523605 1245907620 1100222257 87698548 77716332 233490886 224112728 59237971 19445376 380427405 321274436 X 865480215 778947821 865480215 778947821 1245907620 1100222257 X 27634526 -125138973 10972053 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 25818 25818 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE SOUTH CAROLINA HOSPITAL ASSOCIATION (SCHA). EACH YEAR, A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS ALLOCATED TOWARDS LOBBYING EFFORTS ON BEHALF OF THEIR MEMBERSHIP BODIES. FOR 2022, THE APPROXIMATE AMOUNTS OF MEMBERSHIP DUES ALLOCATED TO THESE EXPENDITURES WERE $13,747 FOR SCHA AND $12,071 FOR AHA. 34048690 34048690 273410678 211129246 62281432 582273932 415752246 166521686 34197858 5344523 28853335 291705143 ESTIMATED THIRD-PARTY SETTLEMENTS 16916390 INTEREST RATE SWAP ALLOWANCE 1406768 INTERCOMPANY PAYABLES 1122218 19445376 X 523776604 -125138973 13141131 -111997842 635774446 1552767 44299776 45852543 681626989 610308998 1895855 1895855 608413143 1552767 44026553 45579320 653992463 PART X, LINE 2: THE HOSPITAL IS EXEMPT FROM INCOME TAX UNDER SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL OR STATE INCOME TAXES. THE HOSPITAL HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2022. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP CONTRACT 5,027,162. RENTAL EXPENSE 1,895,855. RELEASED FROM RESTRICTED 218,114. OTHER CHANGE 6,000,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 44,026,553. CHANGE IN SPLIT INVESTMENT 273,223. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 1,895,855. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 44,026,553. INTEREST INCOME IN EXPENSES CENTRAL AMERICA AND THE CARIBBEAN - 0 0 INVESTMENT BALANCE 16499975 0 0 0 0 0 0 16499975 0 16499975 0 0 0 0 0 0 PART III ACCOUNTING METHOD: SCHEDULE F, PART V, LINE 3: THE ORGANIZATION'S OWNERSHIP IN A FOREIGN CORPORATION WAS UNDER THE THRESHOLDS FOR FILING THE FORM 5471 FOR THE TAX PERIOD. 1 1 X 1 X 1 X 1 1 0 1 1 17326401 17326401 0.02840 82847336 76892650 5954686 0.00980 100173737 76892650 23281087 0.03820 219609 219609 0.00040 12134422 6546068 5588354 0.00920 488534 139815 348719 0.00060 911376 911376 0.00150 13753941 6685883 7068058 0.01170 113927678 83578533 30349145 0.04990 9660 9660 0.00000 9660 9660 0.00000 0 44026553 101238197 106094656 -4856459 X 0 2 1 ANMED HEALTH MEDICAL CENTER 800 N FANT STREET ANDERSON SC 29621 X X X X DISPROPORTIONATE SHARE HOSPITAL A 2 ANMED HEALTH WOMEN'S & CHILDREN'S HOSPITAL 2000 EAST GREENVILLE STREET ANDERSON SC 29621 X X X X DISPROPORTIONATE SHARE HOSPITAL A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 21 1 1 0 1 X SEE DISCLOSURE 1 21 1 HTTP://ANMEDHEALTH.ORG/ABOUT/REPORTS-AND-PUBLICATIONS 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X 1 X HTTPS://ANMED.ORG/PATIENTS-FAMILIES/PATIENT-INFORMATION/FINANCIAL-ASSISTANC X HTTPS://ANMED.ORG/SITES/DEFAULT/FILES/2022-08/COMPLETE%20CAFA%20APPLICATION X HTTPS://ANMED.ORG/SITES/DEFAULT/FILES/2022-08/PLAIN%20LANGUAGE%20SUMMARY.PD X X X X X X 1 X 0 X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: ANMED HEALTH MEDICAL CENTER, - FACILITY 2: ANMED HEALTH WOMEN'S & CHILDREN'S HOSPITAL GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 5: IN 2021, ANMED HEALTH CONDUCTED A FOURTH CHNA TO UPDATE DATA, LOOK AT PROGRESS TOWARD GOALS, AND ACCESS THE MOST CURRENT HEALTH LANDSCAPE. LIKE THE 2018 ASSESSMENT, THE UPDATED STUDY WILL BE UTILIZED FOR PLANNING, PRIORITIZING, AND LINKING NEEDS TO COMMUNITY BENEFIT EFFORTS OF THE HOSPITAL. ANMED HEALTH LEADERSHIP GROUPS ANMED HEALTH BOARD ANMED HEALTH COMMUNITY HEALTH IMPROVEMENT COMMITTEEPUBLIC HEALTH OFFICIALS - SC DEPT. OF HEALTH AND ENVIRONMENTAL CONTROL - PUBLIC HEALTH DEPT - REGION 1*MISTY LEECOMMUNITY SYSTEMS TEAMRESEARCH TEAMMICHAL CUNNINGHAM ANMED HEALTHVICE PRESIDENT, ADVANCEMENTJACKIE MCCALL ANMED HEALTHINJURY PREVENTION COORDINATORSAFE KIDS ANDERSON COUNTY COORDINATORSHANNON OWEN CHNA CONSULTANTADY MATNEY - INDEPENDENT CONSULTANTTM PUBLIC RELATIONS AND GOVERNMENTAL AFFAIRSNIKKI SAYLORSCLEMSON UNIVERSITY GRADUATE STUDENT , MPA GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 6A: THE ORGANIZATION CONDUCTED ITS CHNA WITH ANMED HEALTH WOMEN'S AND CHILDREN HOSPITAL AND ANMED HEALTH CANNON A RELATED ORGANIZATION. GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 11: CHNA IMPLEMENTATION STRATEGIES:MENTAL AND BEHAVIORAL HEALTH - ANMED HEALTH (AH) WILL WORK TOWARD THE ESTABLISHMENT OF AN INTENSIVE OUTPATIENT PROGRAM, PROMOTE AWARENESS AND USE OF THE ANDERSON OCONEE PICKENS MENTAL HEALTH CRISIS RESPONSE TEAM, CONTINUE THE USE OF TELEPSYCH SERVICES AND EXPLORE EXPANDING UTILIZATION, CONTINUE TO OFFER MENTAL HEALTH FIRST AID TO ANMED TEAMS AND THE COMMUNITY CONTINUE TO WORK WITH AND SUPPORT THE SAFETY NET COUNCIL, RESEARCH A COMMUNITY-BASED CARE COORDINATION SOFTWARE, EXPLORE WITH AOP MENTAL HEALTH CENTER AND AO BHS POTENTIALS AROUND SHARED CARE COORDINATION, EXPLORE OPPORTUNITIES TO EXPAND THE CAPABILITIES AND ACCESS TO FAVOR SERVICES IN ANDERSON, EXPLORE MENTAL HEALTH HOUSING OPTIONS WITH COMMUNITY PARTNERS AND, AND TRANSITION SOME MENTAL AND BEHAVORIAL HEALTH SERVICES TO ANMED WOMEN'S AND CHILDREN'S HOSPITAL.SUBSTANCE ABUSE- AH WILL EXPLORE ESTABLISHING A SBIRT MODEL IN ANDERSON, EXPLORE OPPORTUNITIES TO EXPAND THE CAPABILITIES AND ACCESS TO FAVOR SERVICES IN ANDERSON, PROMOTE EDUCATION/AWARENESS/RISK EDUCATION IN THE COMMUNITY THROUGH COMMUNITY EDUCATION AND EVENTS, THROUGH DOCLINK PROVIDE SUBSTANCE ABUSE PREVENTION IN ELEMENTARY, MIDDLE , AND HIGH SCHOOLS, IDENTIFY ANDERSON-SPECIFIC RESOURCES FOR SUBSTANCE ABUSE TREATMENT.DIABETES - ANMED HEALTH WILL INCORPORATE DIABETES EDUCATION/SCREENING INTO COMMUNITY WELLNESS ACTIVITY, PROVIDE COMMUNITY CLASSES ON DIABETES MANAGEMENT, EXPLORE WAYS TO ASSIST PROVIDERS TO PROVIDE CULTURALLY APPROPRIATE EDUCATION TO DIABETIC PATIENTS AND INCREASE ACCESS TO DIABETIC MANAGEMENT INFORMATION FOR DIABETIC PATIENTS.COMMUNITY EDUCATION AH WILL ALIGN AND FOCUS COMMUNITY OUTREACH AND EDUCATION EFFORTS ON OBESITY PREVENTION, SUCH AS MEDICAL COMMUNITY OUTREACH SCREENINGS; HEALTH FAIRS; DIABETES, A1C TESTING, BMI, HEART & VASCULAR SCREENING, AND PROGRAMS, PROMOTE WALKING TRAIL, RECREATION FACILITIES, AND FARMER'S MARKETS IN THE COMMUNITY, CONTINUE "MOVE IT EVENTS" IN THE COMMUNITY IN PARTNERSHIP WITH THE LIBRARY, EXPLORE USE OF EPIC AND PRIMARY CARE PROCESSES ON DEVELOPING "FLAGS" FOR PROVIDING EDUCATION MATERIAL TO PATIENTS WHO ARE AT RISK FOR OBESITY, CONTINUE EMPLOYEE WELLNESS PROGRAMMING WITH ANMED STAFF, PROMOTE CONTINUED USE OF PHYSICIAN TOOLKIT FOR CHILDHOOD OBESITY, PARTICIPATE IN/SUPPORT COMMUNITY-LED EFFORTS, WORK THE HEALTH DEPARTMENT TO INCREASE AWARENESS OF AND PROMOTE STD SCREENINGS, PREVENTION RESOURCES, IMMUNIZATIONS, ETC, AND COORDINATE WITH DOCLINK TO PROVIDE VAPING PREVENTION AND CESSATION EDUCATION IN ELEMENTARY, MIDDLE, AND HIGH SCHOOLS LOCALLY. SOCIAL DETERMINANTS OF HEALTH AH WILL IMPLEMENT/EXPAND ACCESS HEALTH, INCREASE THE NUMBER OF PRIMARY CARE PATIENTS, INCREASE NUMBER OF PRIMARY CARE PROVIDERS, CONTINUE AND EXPAND THE HEALTHY OUTCOMES PLAN (HOP), RESEARCH A COMMUNITY- BASED CARE COORDINATION SOFTWARE, CONTINUE TO EXPLORE EXPANDING PRIMARY CARE SAME DAY APPOINTMENT OPTIONS, AND E-VISIT OPTIONS HEALTH SYSTEM WIDE, INCREASE ACCESS TO MEDICAL INFORMATION AND TIMELY PROVIDER MESSAGING BY INCREASING MYCHART UTILIZATION, CONTINUE TO SUPPORT AND PARTICIPATE IN THE ANDERSON COUNTY SAFETY NET COUNCIL TO INCREASE AWARENESS OF AVAILABLE RESOURCES AND TO BETTER COORDINATE SERVICES AND CARE ACROSS SOCIAL DETERMINANTS OF HEALTH AREAS, EXPLORE LOCAL RESOURCES AVAILABLE AND PROMOTE TO PATIENTS AND IN THE COMMUNITY,WORK WITH PARENTING PLACE AND OTHER APPROPRIATE PARTNERS TO SUPPORT ACES TRAINING TO APPROPRIATE GROUPS IN THE COMMUNITY, EXPLORE RESOURCES AND PARTNERSHIP FOR AFFORDABLE, SAFE HOUSING, AND EXPLORE HEALTH CARE FOR THE HOMELESS PROGRAM IN COORDINATION WITH FQHCS AND HEALTH CARE OPTIONS. GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 13H: FPG ARE USED (ALONGSIDE OTHER PARAMETERS) TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. WE TAKE THE 50% SELF-PAY DISCOUNT OFF FIRST THEN ADJUST THE REST OF THE CHARGES ACCORDINGLY (BASED ON FINANCIAL ASSISTANCE APPROVAL %). ALL UNINSURED PATIENTS ARE ELIGIBLE FOR A STANDING 50% DISCOUNT EFFECTIVE FOR SERVICES RENDERED FROM 3/14/16 FORWARD. GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 16J: FINANCIAL COUNSELORS MAKE THIS AVAILABLE WHEN INTERVIEWING INPATIENT UNINSURED PATIENTS. THE POLICY IS AVAILABLE IN SPANISH AND ENGLISH. ALL PATIENT REGISTRATION AREAS HAVE COPIES OF THE FINANCIAL APPLICATION FORMS AVAILABLE TO GIVE TO PATIENTS WHO MAY INQUIRE. THE WEBSITE GIVES INFORMATION REGARDING WHERE AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 19E: ANMED HEALTH DOES NOT CHARGE PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. ANMED HEALTH ADJUSTS 100% OF THE BILLED CHARGES. GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5: IN 2021, ANMED HEALTH CONDUCTED A FOURTH CHNA TO UPDATE DATA, LOOK AT PROGRESS TOWARD GOALS, AND ACCESS THE MOST CURRENT HEALTH LANDSCAPE. LIKE THE 2018 ASSESSMENT, THE UPDATED STUDY WILL BE UTILIZED FOR PLANNING, PRIORITIZING, AND LINKING NEEDS TO COMMUNITY BENEFIT EFFORTS OF THE HOSPITAL. ANMED HEALTH LEADERSHIP GROUPS ANMED HEALTH BOARD ANMED HEALTH COMMUNITY HEALTH IMPROVEMENT COMMITTEEPUBLIC HEALTH OFFICIALS - SC DEPT. OF HEALTH AND ENVIRONMENTAL CONTROL - PUBLIC HEALTH DEPT - REGION 1*MISTY LEECOMMUNITY SYSTEMS TEAMRESEARCH TEAMMICHAL CUNNINGHAM ANMED HEALTHVICE PRESIDENT, ADVANCEMENTJACKIE MCCALL ANMED HEALTHINJURY PREVENTION COORDINATORSAFE KIDS ANDERSON COUNTY COORDINATORSHANNON OWEN CHNA CONSULTANTADY MATNEY - INDEPENDENT CONSULTANTTM PUBLIC RELATIONS AND GOVERNMENTAL AFFAIRSNIKKI SAYLORSCLEMSON UNIVERSITY GRADUATE STUDENT , MPA GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6A: THE ORGANIZATION CONDUCTED ITS CHNA WITH ANMED HEALTH CANNON A RELATED ORGANIZATION. GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: CHNA IMPLEMENTATION STRATEGIES:MENTAL AND BEHAVIORAL HEALTH - ANMED HEALTH (AH) WILL WORK TOWARD THE ESTABLISHMENT OF AN INTENSIVE OUTPATIENT PROGRAM, PROMOTE AWARENESS AND USE OF THE ANDERSON OCONEE PICKENS MENTAL HEALTH CRISIS RESPONSE TEAM, CONTINUE THE USE OF TELEPSYCH SERVICES AND EXPLORE EXPANDING UTILIZATION, CONTINUE TO OFFER MENTAL HEALTH FIRST AID TO ANMED TEAMS AND THE COMMUNITY, CONTINUE TO WORK WITH AND SUPPORT THE SAFETY NET COUNCIL, RESEARCH A COMMUNITY-BASED CARE COORDINATION SOFTWARE, EXPLORE WITH AOP MENTAL HEALTH CENTER AND AO BHS POTENTIALS AROUND SHARED CARE COORDINATION, EXPLORE OPPORTUNITIES TO EXPAND THE CAPABILITIES AND ACCESS TO FAVOR SERVICES IN ANDERSON, EXPLORE MENTAL HEALTH HOUSING OPTIONS WITH COMMUNITY PARTNERS AND, AND TRANSITION SOME MENTAL AND BEHAVORIAL HEALTH SERVICES TO ANMED WOMEN'S AND CHILDREN'S HOSPITAL.SUBSTANCE ABUSE- AH WILL EXPLORE ESTABLISHING A SBIRT MODEL IN ANDERSON, EXPLORE OPPORTUNITIES TO EXPAND THE CAPABILITIES AND ACCESS TO FAVOR SERVICES IN ANDERSON, PROMOTE EDUCATION/AWARENESS/RISK EDUCATION IN THE COMMUNITY THROUGH COMMUNITY EDUCATION AND EVENTS, THROUGH DOCLINK PROVIDE SUBSTANCE ABUSE PREVENTION IN ELEMENTARY, MIDDLE , AND HIGH SCHOOLS, IDENTIFY ANDERSON-SPECIFIC RESOURCES FOR SUBSTANCE ABUSE TREATMENT.DIABETES - ANMED HEALTH WILL INCORPORATE DIABETES EDUCATION/SCREENING INTO COMMUNITY WELLNESS ACTIVITY, PROVIDE COMMUNITY CLASSES ON DIABETES MANAGEMENT, EXPLORE WAYS TO ASSIST PROVIDERS TO PROVIDE CULTURALLY APPROPRIATE EDUCATION TO DIABETIC PATIENTS AND INCREASE ACCESS TO DIABETIC MANAGEMENT INFORMATION FOR DIABETIC PATIENTS.COMMUNITY EDUCATION AH WILL ALIGN AND FOCUS COMMUNITY OUTREACH AND EDUCATION EFFORTS ON OBESITY PREVENTION, SUCH AS MEDICAL COMMUNITY OUTREACH SCREENINGS; HEALTH FAIRS; DIABETES, A1C TESTING, BMI, HEART & VASCULAR SCREENING, AND PROGRAMS, PROMOTE WALKING TRAIL, RECREATION FACILITIES, AND FARMER'S MARKETS IN THE COMMUNITY, CONTINUE "MOVE IT EVENTS" IN THE COMMUNITY IN PARTNERSHIP WITH THE LIBRARY, EXPLORE USE OF EPIC AND PRIMARY CARE PROCESSES ON DEVELOPING "FLAGS" FOR PROVIDING EDUCATION MATERIAL TO PATIENTS WHO ARE AT RISK FOR OBESITY, CONTINUE EMPLOYEE WELLNESS PROGRAMMING WITH ANMED STAFF, PROMOTE CONTINUED USE OF PHYSICIAN TOOLKIT FOR CHILDHOOD OBESITY, PARTICIPATE IN/SUPPORT COMMUNITY-LED EFFORTS, WORK THE HEALTH DEPARTMENT TO INCREASE AWARENESS OF AND PROMOTE STD SCREENINGS, PREVENTION RESOURCES, IMMUNIZATIONS, ETC, AND COORDINATE WITH DOCLINK TO PROVIDE VAPING PREVENTION AND CESSATION EDUCATION IN ELEMENTARY, MIDDLE, AND HIGH SCHOOLS LOCALLY. SOCIAL DETERMINANTS OF HEALTH AH WILL IMPLEMENT/EXPAND ACCESS HEALTH, INCREASE THE NUMBER OF PRIMARY CARE PATIENTS, INCREASE NUMBER OF PRIMARY CARE PROVIDERS, CONTINUE AND EXPAND THE HEALTHY OUTCOMES PLAN (HOP), RESEARCH A COMMUNITY- BASED CARE COORDINATION SOFTWARE, CONTINUE TO EXPLORE EXPANDING PRIMARY CARE SAME DAY APPOINTMENT OPTIONS, AND E-VISIT OPTIONS HEALTH SYSTEM WIDE, INCREASE ACCESS TO MEDICAL INFORMATION AND TIMELY PROVIDER MESSAGING BY INCREASING MYCHART UTILIZATION, CONTINUE TO SUPPORT AND PARTICIPATE IN THE ANDERSON COUNTY SAFETY NET COUNCIL TO INCREASE AWARENESS OF AVAILABLE RESOURCES AND TO BETTER COORDINATE SERVICES AND CARE ACROSS SOCIAL DETERMINANTS OF HEALTH AREAS, EXPLORE LOCAL RESOURCES AVAILABLE AND PROMOTE TO PATIENTS AND IN THE COMMUNITY,WORK WITH PARENTING PLACE AND OTHER APPROPRIATE PARTNERS TO SUPPORT ACES TRAINING TO APPROPRIATE GROUPS IN THE COMMUNITY, EXPLORE RESOURCES AND PARTNERSHIP FOR AFFORDABLE, SAFE HOUSING, AND EXPLORE HEALTH CARE FOR THE HOMELESS PROGRAM IN COORDINATION WITH FQHCS AND HEALTH CARE OPTIONS. GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 13H: FPG ARE USED (ALONGSIDE OTHER PARAMETERS) TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. WE TAKE THE 50% SELF-PAY DISCOUNT OFF FIRST THEN ADJUST THE REST OF THE CHARGES ACCORDINGLY (BASED ON FINANCIAL ASSISTANCE APPROVAL %). ALL UNINSURED PATIENTS ARE ELIGIBLE FOR A STANDING 50% DISCOUNT EFFECTIVE FOR SERVICES RENDERED FROM 3/14/16 FORWARD. GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 16J: FINANCIAL COUNSELORS MAKE THIS AVAILABLE WHEN INTERVIEWING INPATIENT UNINSURED PATIENTS. THE POLICY IS AVAILABLE IN SPANISH AND ENGLISH. ALL PATIENT REGISTRATION AREAS HAVE COPIES OF THE FINANCIAL APPLICATION FORMS AVAILABLE TO GIVE TO PATIENTS WHO MAY INQUIRE. THE WEBSITE GIVES INFORMATION REGARDING WHERE AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. PART V, SECTION B, LINE 7A THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT THIS WEB ADDRESS:HTTPS://ANMED.ORG/SITES/DEFAULT/FILES/2022-08/ANMED%20HEALTH%20CHNA%202021%20FINAL%20%201.3.22.PDF 44 1 - ANMED CANCER CENTER 2000 E GREENVILLE STREET SUITE 2000 ANDERSON SC 29621 OUTPATIENT FACILITY 2 - ANMED CARDIAC AND ORTHPAEDIC CENTER 100 HEALTHY WAY ANDERSON SC 29621 OUTPATIENT FACILITY 3 - ANMED PIEDMONT SURGICAL ASSOCIATES 2000 E GREENVILLE STREET SUITE 2500 ANDERSON SC 29621 PHYSICIAN OFFICE 4 - ANMED OB-GYN ASSOCIATES 2000 E GREENVILLE STREET SUITE 4500 ANDERSON SC 29621 PHYSICIAN OFFICE 5 - ANMED PULMONARY AND SLEEP MEDICINE 2000 E GREENVILLE STREET SUITE 1100 ANDERSON SC 29621 PHYSICIAN OFFICE 6 - ANMED MEDICUS ENT 1655 EAST GREENVILLE STREET ANDERSON SC 29621 PHYSICIAN OFFICE 7 - ANMED UROLOGY 2000 E GREENVILLE STREET SUITE 5140 ANDERSON SC 29621 PHYSICIAN OFFICE 8 - ANMED FAMILY MEDICINE CENTER 2000 E GREENVILLE STREET SUITE 3700 ANDERSON SC 29621 PHYSICIAN OFFICE 9 - ANMED CLEMSON 885 TIGER BLVD CLEMSON SC 29631 OUTPATIENT FACILITY 10 - ANMED PEDIATRIC ASSOCIATES 2000 E GREENVILLE STREET SUITE 3000 ANDERSON SC 29621 PHYSICIAN OFFICE 11 - ANMED NEUROLOGY CONSULTANTS 2000 E GREENVILLE STREET SUITE 2800 ANDERSON SC 29621 PHYSICIAN OFFICE 12 - ANMED CAROLINA OBGYN 160 PERPETUAL SQUARE DR ANDERSON SC 29621 PHYSICIAN OFFICE 13 - ANMED ONCOLOGY AND HEMATOLOGY 2000 E GREENVILLE STREET SUITE 5130 S ANDERSON SC 29621 PHYSICIAN OFFICE 14 - ANMED ORTHOPAEDICS AND SPORTS MEDICINE 100 HEALTHY WAY SUITE 1200 ANDERSON SC 29621 PHYSICIAN OFFICE 15 - ANMED SPINE AND NEUROSURGERY 109 MONTGOMERY DRIVE ANDERSON SC 29621 PHYSICIAN OFFICE 16 - ANMED PEDIATRIC THERAPY WORKS 701 N FANT STREET ANDERSON SC 29621 OUTPATIENT FACILITY 17 - ANMED CARECONNECT ANDERSON 600 N FANT STREET ANDERSON SC 29621 OUTPATIENT FACILITY 18 - ANMED HONEA PATH FM 21 S SHIRLEY AVE HONEA PATH SC 29654 PHYSICIAN OFFICE 19 - ANMED GASTROENTEROLOGY SPECIALIST 2000 E GREENVILLE STREET SUITE 2900 ANDERSON SC 29621 PHYSICIAN OFFICE 20 - ANMED HOME HEALTH 1926 MCCONNELL SPRINGS RD ANDERSON SC 29621 OUTPATIENT FACILITY 21 - ANMED CHILDREN'S HEALTH CENTER 500 N FANT STREET ANDERSON SC 29621 PHYSICIAN OFFICE 22 - ANMED LAKESIDE FM 4120 HWY 24 ANDERSON SC 29621 PHYSICIAN OFFICE 23 - ANMED WILLIAMSTON FM 16 ROBERTS RD WILLIAMSTON SC 29667 PHYSICIAN OFFICE 24 - ANMED CORNERSTONE FM 801 E GREENVILLE ST ANDERSON SC 29621 PHYSICIAN OFFICE 25 - ANMED ANDERSON PEDIATRICS 705 N FANT STREET ANDERSON SC 29621 PHYSICIAN OFFICE 26 - ANMED ENDOCRINOLOGY 2000 E GREENVILLE STREET SUITE 3100 ANDERSON SC 29621 PHYSICIAN OFFICE 27 - ANMED WREN FM 6650 HIGHWAY 81 N PIEDMONT SC 29673 PHYSICIAN OFFICE 28 - ANMED COSMETIC AND PLASTIC SURGERY 7 LINWA BLVD ANDERSON SC 29621 PHYSICIAN OFFICE 29 - ANMED HARTWELL FM 28 CHANDLER CENTER HARTWELL GA 30643 PHYSICIAN OFFICE 30 - ANMED ANDERSON FM 2000 E GREENVILLE STREET SUITE 2000 ANDERSON SC 29621 PHYSICIAN OFFICE 31 - ANMED IVA FM 331 ANTREVILLE HWY IVA SC 29655 PHYSICIAN OFFICE 32 - ANMED INTERNAL MEDICINE-ANDERSON 2000 E GREENVILLE STREET SUITE 3850 ANDERSON SC 29621 PHYSICIAN OFFICE 33 - ANMED PENDLETON FM 1005 MEEHAN WAY PENDLETON SC 29670 PHYSICIAN OFFICE 34 - ANMED CENTERVILLE FM 1520 CENTERVILLE RD ANDERSON SC 29625 PHYSICIAN OFFICE 35 - ANMED PSYCHIATRY 2000 E GREENVILLE ST SUITE 1500 ANDERSON SC 29621 PHYSICIAN OFFICE 36 - ANMED INFECTION MANAGEMENT 703 N FANT STREET SUITE B ANDERSON SC 29621 PHYSICIAN OFFICE 37 - ANMED RHEUMATOLOGY 2000 E GREENVILLE STREET SUITE 5130 ANDERSON SC 29621 PHYSICIAN OFFICE 38 - ANMED MICHEAL M RIVERA MD 1519 N FANT STREET ANDERSON SC 29621 PHYSICIAN OFFICE (CLOSED 3/22) 39 - ANMED QUINN PHYSICAL THERAPY 127 WALMART DRIVE HARTWELL GA 30643 PHYSICIAN OFFICE 40 - ANMED DANIEL A KEENAN 105 BUFORD AVE ANDERSON SC 29621 PHYSICIAN OFFICE 41 - ANMED ANDERSON GYN-OB 105 BUFORD AVE ANDERSON SC 29621 PHYSICIAN OFFICE 42 - ANMED ANDERSON BONE & JOINT 112 MONTGOMERY DRIVE ANDERSON SC 29621 PHYSICIAN OFFICE (CLOSED 4/22) 43 - ANMED TRANSITIONAL CARE MEDICINE 703 NORTH FANT ST ANDERSON SC 29621 PHYSICIAN OFFICE 44 - ANMED CENTRAL FM 1035 W MAIN ST CENTRAL SC 29630 PHYSICIAN OFFICE PART I, LINE 3C: SELF PAY DISCOUNT OF 50% IS AVAILABLE TO ALL UNINSURED PATIENTS. PART I, LINE 6A: SOUTH CAROLINA DOES NOT REQUIRE HOSPITALS TO FILE A COMMUNITY BENEFIT REPORT. EACH YEAR, ANMED HEALTH HAS PARTICIPATED IN THE SC HOSPITAL ASSOCIATION'S (SCHA) COMMUNITY BENEFIT SURVEY PROCESS. SCHA CONTRACTS WITH THE MICHIGAN HOSPITAL ASSOCIATION FOR USE OF THE COMMUNITY BENEFIT TRACKER SOFTWARE. IN EACH PARTICIPATION YEAR, ANMED HEALTH HAS REPORTED ITS COMMUNITY BENEFIT INFORMATION TO SCHA, USING THE TRACKER SURVEY INSTRUMENT. PART I, LINE 7: ANMED HEALTH'S COST ACCOUNTING SYSTEM WAS USED TO COMPUTE A COST-TO-CHARGE RATIO USED TO CALCULATE COMMUNITY BENEFIT EXPENSE AT COST FOR USE IN PART I, LINE 7. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDES AN OUTPATIENT CLINIC AND A PSYCHIATRIC INPATIENT CLINIC OPERATED BY THE ORGANIZATION. EACH CLINIC RUNS AT A FINANCIAL LOSS BUT IS NECESSARY FOR THE BENEFIT OF THE COMMUNITIES SERVED. PART I, LN 7 COL(F): THE AMOUNT OF TOTAL EXPENSE ON FORM 990, PART IX, LINE 25 CONTAINS BAD DEBT EXPENSE OF $ 44,026,553 THAT WAS REMOVED FROM THE CALCULATION OF CHARITY CARE ON PART I, LINE 7. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY SUPPORT - VOLUNTEERS SERVED AT 10 EVENTS THAT SHARED A GOAL OF PROVIDING SUPPORT TO THE COMMUNITY BY ADDRESSING COMMUNITY CONCERNS SUCH AS HOMELESSNESS, SPORTS INJURIES, AND INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES. THESE EVENTS SERVED 832 INDIVIDUALS AND CONTRIBUTED $365 TOWARD THE TOTAL COMMUNITY BENEFIT EXPENSE IN SUPPLIES AND THE AVERAGE LABOR COST OF $40.04 PER HOUR. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS - ONE OF ANMED HEALTH'S STAFF MEMBERS MENTORED A LOCAL HIGH SCHOOL STUDENT THROUGH THE LEAD HIGHER TO INSPIRE PROGRAM.COALITION BUILDING - LAND WAS GIVEN FREE TO CHARGE TO THE CITY FIRE STATION.WORKFORCE DEVELOPMENT - OVER 300 LOCAL STUDENTS WERE SERVED BY ANMED HEALTH STAFF THROUGH THEIR PARTICIPATION IN CAREER DEVELOPMENT ACTIVITIES. PART III, LINE 2: THE ORGANIZATION IS REPORTING ITS GROSS BAD DEBT FOR PURPOSES OF SCHEDULE H PART III. PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE THAT DESCRIBES THE PROVISION FOR BAD DEBT AS AMOUNTS BILLED OR BILLABLE WHERE THE ULTIMATE COLLECTION OF THESE AMOUNTS CANNOT BE DETERMINED AT THE TIME PATIENT SERVICES ARE RENDERED. PART III, LINE 8: THE MEDICARE COST REPORT WAS USED TO COMPUTE MEDICARE ALLOWABLE COST OF CARE RELATED TO MEDICARE PAYMENT.ADDITIONAL ACTIVITIES FROM MEDICARE MANAGED CARE AND PHYSICIAN PRACTICES NOT REPORTED IN THE MEDICARE COST REPORT:TOTAL REVENUE FROM OTHER MEDICARE PROGRAMS: $144,968,184COST OF CARE RELATED TO THE PAYMENTS : $212,562,422SHORTFALL OF OTHER MEDICARE SERVICES: ($67,594,238)ANMED HEALTH TREATS MEDICARE PATIENTS AT A LOSS AND BELIEVES THIS SHOULD BE INCLUDED IN COMMUNITY BENEFIT. ANMED HEALTH TREATS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. WITHOUT THE MEDICARE PROGRAM, A PERCENTAGE OF THE POPULATION RECEIVING MEDICARE WOULD QUALIFY FOR FINANCIAL ASSISTANCE, WHILE OTHERS WOULD FAIL TO PAY AND BE WRITTEN OFF AS BAD DEBT EXPENSE. ALTERNATIVELY, SOME WOULD HAVE COMMERCIAL INSURANCE AND ANMED HEALTH WOULD RECEIVE MORE THAN ANMED HEALTH DOES FROM MEDICARE. BECAUSE OF THESE FACTORS, THE ORGANIZATION TAKES THE POSITION THAT THE ENTIRETY OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. PART III, LINE 9B: ONCE APPROVED FOR THE FINANCIAL ASSISTANCE POLICY, NO ADDITIONAL COLLECTION EFFORTS ARE MADE OR BILLS SENT BY THE ORGANIZATION, AND THE HOSPITAL SYSTEM WOULD ONLY EXPECT PAYMENT IF THE PATIENT RECEIVED MONEY FROM AN INSURANCE CLAIM. PART VI, LINE 2: IN THE SPRING OF 2021, ANMED HEALTH BEGAN A FORMAL PROCESS OF REASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. USING THE GUIDELINES PUBLISHED IN THE INITIAL IRS GUIDELINE, ANMED HEALTH ENGAGED A LOCAL CONSULTANT TO ASSIST IN THIS ASSESSMENT, WHICH CONSISTED OF DATA COLLECTION AND LOCAL FOCUS GROUPS. THIS PROCESS CULMINATED WITH THE DEVELOPMENT OF AN ANMED HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT DOCUMENT, WHICH WAS ULTIMATELY ADOPTED AND APPROVED BY ANMED HEALTH BOARD OF TRUSTEES . THERE WERE FIVE PRIORITIES THAT WERE SELECTED FOR STRATEGY DEVELOPMENT AND ACTION PLANS FOR 2022: MENTAL AND BEHAVIORAL HEALTH; SUBSTANCE ABUSE; DIABETES; COMMUNITY EDUCATION; AND SOCIAL DETERMINANTS OF HEALTH. PART VI, LINE 3: ALL SELF PAY INPATIENTS ARE VISITED BY A FINANCIAL COUNSELOR DURING HIS OR HER STAY OR ARE CONTACTED AT HOME IF DISCHARGED PRIOR TO THEIR INTERVIEW. THE FINANCIAL COUNSELOR COMPLETES A FINANCIAL ASSESSMENT TO DETERMINE IF THE PATIENT MIGHT QUALIFY FOR OUTSIDE ASSISTANCE (MEDICAID, SOCIAL SECURITY, DISABILITY, VICTIMS ASSISTANCE, MIAP, ETC.). APPLICATIONS FOR THESE PROGRAMS ARE COMPLETED. A COVERAGE ASSISTANCE AND FINANCIAL ASSISTANCE ("CAFA") FORM IS COMPLETED AT THAT TIME IN THE EVENT THEY DO NOT QUALIFY FOR ANY OTHER ASSISTANCE AND ARE ELIGIBLE FOR THE FINANCIAL ASSISTANCE PROGRAM. ANMED HEALTH HAS ENLISTED AN OUTSIDE VENDOR PARTNER TO ASSIST WITH THE OUTPATIENT UNINSURED POPULATION. THIS PARTNER PROVIDES TWO FULL TIME EMPLOYEES WHO WORK IN THE EMERGENCY DEPARTMENT TO ASSIST PATIENTS IN DETERMINING IF THEY MAY QUALIFY FOR OUTSIDE ASSISTANCE (MEDICAID, SOCIAL SECURITY, DISABILITY, VICTIMS ASSISTANCE, MIAP, ETC.). APPLICATIONS FOR THESE PROGRAMS ARE COMPLETED. A CAFA FORM IS COMPLETED AT THAT TIME IN THE EVENT THEY DO NOT QUALIFY FOR ANY OTHER ASSISTANCE AND ARE ELIGIBLE FOR OUR FINANCIAL ASSISTANCE PROGRAM. ANMED HEALTH ALSO ELECTRONICALLY SENDS FILES TO THE VENDOR PARTNER ON OTHER OUTPATIENT ACCOUNTS WHERE PATIENTS ARE CONTACTED BY PHONE TO DETERMINE IF THEY MAY QUALIFY FOR OUTSIDE ASSISTANCE. ADDITIONALLY, FLYERS ARE LOCATED AT ALL ADMITTING AND REGISTRATION AREAS THAT INCLUDE INFORMATION ON AVAILABLE COVERAGE AND ASSISTANCE (SC PATIENT ATTESTATION), AND CONTACT INFORMATION (PLAIN LANGUAGE SUMMARY) FOR THE FINANCIAL COUNSELORS. WHEN A PATIENT RECEIVES A BILL, THE WEBSITE, WHICH HAS THE FINANCIAL ASSISTANCE POLICY, IS LISTED AS WELL AS A PHONE NUMBER PATIENTS CAN CALL TO REQUEST ASSISTANCE. PART VI, LINE 4: ANMED HEALTH INCLUDES ANDERSON COUNTY, OCONEE COUNTY, PICKENS COUNTY, AND ABBEVILLE COUNTY IN SOUTH CAROLINA, AS WELL AS HART AND ELBERT COUNTIES IN NORTHEAST GEORGIA AS SERVICE AREAS. ANDERSON COUNTY, THE PRIMARY COMMUNITY SERVED BY ANMED HEALTH IS AN URBAN COMMUNITY THAN ENCOMPASSES APPROXIMATELY 206,908 RESIDENTS. THE POPULATION OF ANDERSON COUNTY IS EXPECTED TO GROW AT JUST OVER 1% PER YEAR. THE MEDIAN HOUSEHOLD INCOME IN THE COUNTY WAS $53,598. THE PER CAPITA INCOME FOR THE COUNTY WAS $28,931 WITH APPROXIMATELY 14.0% OF COMMUNITY RESIDENTS HAVING INCOMES BELOW THE FEDERAL POVERTY GUIDELINE. THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES DESIGNATED SIX MEDICALLY UNDERSERVED AREAS IN ANDERSON COUNTY. FROM THE SOUTH CAROLINA PRIMARY HEALTH CARE ASSOCIATION, REGARDING MEDICALLY UNDERSERVED AREAS IN ANDERSON COUNTY, THE AREAS ARE AS FOLLOWS IN THE ASSOCIATED CENSUS TRACTS: ANDERSON COUNTY 03093 - CT 0005.00, CT 0006.00, CT 0007.00 AND BELTON DIVISION SERVICE AREA 03099 - MCD (90221) BELTON CCD, MCD (91170 FORK CCD, MCD (93224) STARR CCD. FOR 2021, 3.0% WERE UNEMPLOYED. AS OF MAY 2022, 2.8% WERE UNEMPLOYED. APPROXIMATELY 68% OF ANDERSON COUNTY RESIDENTS WHO ARE UNINSURED OR MEDICAID RECIPIENTS COME TO ANMED HEALTH FOR THEIR INPATIENT MEDICAL CARE. PART VI, LINE 5: ANMED HEALTH (AH) PROVIDES, SUPPORTS, PROMOTES, AND / OR SPONSORS A BROAD SCOPE OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS THAT PROMOTE GOOD HEALTH, WELLNESS / PREVENTION, AND ACCESS TO HEALTH CARE SERVICES. EXAMPLES OF COMMUNITY OUTREACH EVENTS INCLUDE DIABETES AND HEART HEALTH EDUCATION AT MULTIPLE HEALTH FAIRS SERVING OVER 5,700 PEOPLE; EDUCATION ON MAKING HEALTHY DECISIONS FOR OVER 6,800 STUDENTS; PROVISION OF HEALTH INFORMATION AND EDUCATION TO OVER 1,600 SENIORS; AND HEALTH INFORMATION AND BLOOD PRESSURE SCREENINGS FOR OVER 2,900 EMPLOYEES AT THEIR PLACE OF EMPLOYMENT. ADDITIONALLY, OVER 1,810 COMMUNITY MEMBERS WERE CONNECTED THROUGH SUPPORT GROUPS FOR OUTPATIENT MANAGEMENT OF DIABETES, HOW TO EMBRACE A HEALTHY LIFESTYLE AFTER SURGICAL WEIGHT LOSS, AND HOW TO SURVIVE THE CANCER JOURNEY; AS WELL AS CANCER FIGHTERS & SURVIVORS DAY, A CELEBRATION OF THOSE SURVIVING A CANCER DIAGNOSIS. ANDERSON COUNTY SAFE KIDS PROGRAM TAUGHT MORE THAN 3,300 PARENTS AND CHILDREN BIKE AND WATER SPORTS SAFETY, FIRE SAFETY, SLEEP SAFETY, AND PROPER CAR SEAT USE. AN EXAMPLE OF COMMUNITY-BASED CLINICAL SERVICES PROVIDED AT NO CHARGE DURING THE YEAR IS THAT MORE THAN 1,000 PERSONS WERE SCREENED FOR SYMPTOMS SUCH AS CHRONIC ELEVATED BLOOD PRESSURE, CHOLESTEROL AND BLOOD SUGAR, THROUGH COMMUNITY OUTREACH SCREENINGS. FREE GENETIC COUNSELING WAS PROVIDED TO HIGH-RISK CANCER PATIENTS. FOR LOW-INCOME COMMUNITY MEMBERS, MEDICAL STAFF VOLUNTEERED THEIR TIME AND RESOURCES TO SERVE OVER 1,300 PEOPLE THROUGH THE HEALTHY OUTCOMES PROGRAM AND AT LOCAL FREE CLINICS AND STAFF VOLUNTEERED TO PROVIDE FOOD FOR 375 CHILDREN THROUGH THE UNITED WAY SNACK PACK PROGRAM. OVER 23,700 MEALS WERE PROVIDED AT NO-COST TO PATIENTS IN THE EMERGENCY DEPARTMENT. ANMED HEALTH PROVIDED OVER $292,000 IN SPONSORSHIPS AND OVER $191,000 THROUGH IN-KIND LAND LEASES TO LOCAL ORGANIZATIONS WHO SHARE OUR VISION OF FOSTERING A HEALTHY COMMUNITY, SUCH AS THE ANDERSON FREE CLINIC, UNITED WAY OF ANDERSON COUNTY, ANDERSON CANCER ASSOCIATION, AND THE ANDERSON AREA YMCA. HEALTH PROFESSIONS EDUCATION PROGRAMS SERVED OVER 600 STUDENTS THROUGH: A FAMILY MEDICINE RESIDENCY PROGRAM, MEDICAL STUDENT EDUCATION PROGRAM, NURSING TRAINING AND MENTORING, A RADIOLOGY TECHNOLOGY PROGRAM, THERAPY INTERNSHIPS, AND PHARMACY STUDENT ROTATIONS. AN ONCOLOGY RESEARCH PROGRAM WORKS WITH PHYSICIANS AND PATIENTS TO IDENTIFY AVAILABLE STUDIES AND TRIALS OF INVESTIGATIONAL MEDICATIONS AND REGIMENS FOR CANCER TREATMENT. ANMED HEALTH EMPLOYEES VOLUNTEERED OVER 1,600 HOURS SERVING ON VARIOUS COMMITTEES THROUGH LOCAL, REGIONAL, AND STATEWIDE HEALTH AND CIVIC ORGANIZATIONS. PART VI, LINE 7, REPORTS FILED WITH STATES SC 1 ANDERSON AREA YMCA 201 E REED RD ANDERSON SC 29621 570314465 5600 0 MIDNIGHT FLIGHT SPONSOR/CROSSFIT SPONSOR ANDERSON FREE CLINIC PO BOX 728 ANDERSON SC 29622 570787584 18000 0 2022 WALK WITH THE DOCS SPONSOR CANCER ASSOCIATION OF ANDERSON 215 E CALHOUN ST ANDERSON SC 29621 542098883 11000 0 ANNUAL SPONSORSHIP HABITAT FOR HUMANITY OF ANDERSON COUNTY 210 S MURRAY AVE ANDERSON SC 29624 570829082 10400 0 WOMEN'S BUILD SPONSORSHIP PLAY SAFE 100 HEALTHY WAY SUITE 1200 ANDERSON SC 29621 451806143 412017 0 SUPPORT FOR ATHLETIC TRAINING SERVICES UNITED WAY OF ANDERSON COUNTY PO BOX 2067 604 N MURRAY AVE ANDERSON SC 29622 570510602 190917 0 SPONSOR / DONOR ANDERSON SOIREE 401 S MAIN ST ANDERSON SC 29624 10000 0 LEGACY SPONSORSHIP CLEMSON AREA CHAMBER 1105 TIGER BLVD CLEMSON SC 29631 570400452 20000 0 VISIONARY STAKEHOLDER 8 0 DOCLINK 12795 45515 CHOOSEWILL CONTRACEPTIVE ACCESS INITIATIVE FUND PART I, LINE 2: SCHOLARSHIPS TRI COUNTY TECHNICAL COLLEGE SCHOLARSHIP: RECIPIENTS MUST LIVE IN ANDERSON COUNTY, SC, MUST BE A NURSING MAJOR WITH AT LEAST A 3.0 GPA, AND MUST BE WILLING TO ACCEPT EMPLOYMENT AT ANMED HEALTH OR BE RESPONSIBLE FOR PAYING BACK THE AMOUNT OF THE SCHOLARSHIP. X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 JAY NAYAK PHYSICIAN 699306 0 1564833 0 726 0 11850 0 28360 0 2305075 0 0 0 JEFFREY DELO PHYSICIAN 559885 0 1345405 0 2644 0 12200 0 24314 0 1944448 0 0 0 WILLIAM KENLEY CEO PRESIDENT/CEO 834232 0 378102 0 5132 0 312459 0 31117 0 1561042 0 378102 0 KUMAR PATEL PHYSICIAN 311930 0 1027412 0 322 0 11850 0 28426 0 1379940 0 0 0 AARON MACDONALD PHYSICIAN 1038654 0 272619 0 4156 0 11850 0 34323 0 1361602 0 0 0 RICKY HENDERSON PHYSICIAN 694791 0 450443 0 3392 0 9150 0 24319 0 1182095 0 0 0 CHRISTINE PEARSON CHIEF FINANCIAL OFFICER 493531 0 169184 0 2341 0 147930 0 24349 0 837335 0 169184 0 DR SYED MALIK DIRECTOR / PHYSICIAN / EX-OFFICIO 476587 0 282526 0 2808 0 11850 0 31403 0 805174 0 0 0 DR BRAD MOCK CHIEF PHYSICIAN EXECUTIVE 448013 0 152435 0 10033 0 136816 0 31106 0 778403 0 152435 0 DR STEPHEN HAND DIRECTOR / PHYSICIAN 446050 0 130980 0 3683 0 11850 0 24860 0 617423 0 0 0 SHAUNDA TROTTER VP CNO 284754 0 93580 0 27111 0 89416 0 4810 0 499671 0 93580 0 DR MELODY FRANKS DIRECTOR / PHYSICIAN 358394 0 46031 0 3301 0 72412 0 13173 0 493311 0 46031 0 TINA JURY CHIEF HOSPITAL OFFICER 143967 0 168568 0 7597 0 1702 0 14478 0 336312 0 150568 0 PART I, LINE 1A EXECUTIVE OFFICERS OF THE ORGANIZATION INCLUDING VICE PRESIDENTS ARE PROVIDED WITH TRAVEL FOR SPOUSES AND RECEIVE TAX INDEMNIFICATION AND GROSS UP PAYMENTS. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN. PARTICIPANTS IN THE PLAN DEFER AMOUNTS TO BE PAID IN A SUBSEQUENT YEAR BASED ON MEETING METRICS/GOALS. THE AMOUNTS DEFERRED UNDER THIS PLAN IN 2022 ARE AS FOLLOWS: WILLIAM KENLEY - $300,609 CHRISTINE PEARSON - 136,080 SHAUNDA TROTTER - 78,137 DR. MELODY FRANKS - 60,562 BRAD MOCK - 124,966 SCOTT WEISKITTEL - 23,889 WILLIAM KENLEY, TINA JURY, CHRISTINE PEARSON, AND BRAD MOCK PARTICIPATED IN A CAPEX LIFE INSURANCE PLAN DURING THE YEAR. A SC JOBS-ECONOMIC DEVELOPMENT AUTHORITY 576000286 83703FBX9 2009-04-02 34585000 CURRENT REFUNDING 0 0 0 B SC JOBS-ECONOMIC DEVELOPMENT AUTHORITY 576000286 83703FCQ3 2009-05-13 75605000 CURRENT REFUNDING 0 0 0 C SC JOBS-ECONOMIC DEVELOPMENT AUTHORITY 576000286 2014-06-30 35000000 CAPITAL ACQUISITION 0 0 0 D SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY 570960018 83703FJK9 2016-11-15 115899437 CURRENT REFUNDING 0 0 0 A 34585000 398936 124368 34061696 2007 1 0 1 1 B 11840035 75605035 110003 653394 701606 74250000 2010 1 0 1 1 C 5360000 35000870 145067 34854933 2015 0 0 1 1 D 12945000 114733488 1166048 2016 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 1 0 1 0 0 0 0 B 0 1 1 0 1 1 CITIGROUP 29.580000000000 0 0 0 0 0 C 0 1 1 0 1 0 0 0 0 D 0 1 1 0 1 0 0 0 0 A 0 B 0 C 0 D 0 SCHEDULE K, PART II, LINE 11, OTHER SPENT PROCEEDS: THE AMOUNTS PRESENTED ON LINE 11 AS OTHER SPENT PROCEEDS WERE USED TO CURRENTLY REFUND PRIOR BONDS ISSUED ON THE DATES AS FOLLOWS: BOND (A) - 04/18/2007 BOND (B) - 07/02/2003 BOND (C) - 07/02/2003 BOND (D) - 07/28/1999 BOND (E) - 06/30/2014 BOND (F) - 11/15/2016 FORM 990, PART V, LINE 4A FINANCIAL ACCOUNTS IN A FOREIGN COUNTRY: THE ORGANIZATION WAS A 2.16% PARTNER IN PROFESSIONAL MONEY MANAGEMENT PARTNERSHIP WITH A HEDGE FUND BASED IN THE CAYMAN ISLANDS. THE PARTNERSHIP IS HELD FOR INVESTMENT PURPOSES ONLY. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS ANMED HEALTH SYSTEM, A SOUTH CAROLINA 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES OF ANMED HEALTH AS PROVIDED FOR IN ITS BYLAWS SHALL AUTOMATICALLY BECOME THE BOARD OF TRUSTEES OF THE ORGANIZATION UPON BEING ELECTED AS TRUSTEES OF ANMED HEALTH SYSTEM. ACCORDINGLY, WHEN ANY BOARD MEMBER FOR ANY REASON CEASES BEING A BOARD MEMBER OF ANMED HEALTH SYSTEM, HE OR SHE SHALL ALSO AUTOMATICALLY CEASE BEING A BOARD MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION AND REVIEW BY MANAGEMENT, THE RETURN WAS PLACED ON A SECURE WEBSITE PRIOR TO THE OCTOBER 2023 BOARD MEETING. AT THE MEETING, BOARD MEMBERS HAD AN OPPORTUNITY TO DISCUSS THE RETURN AND ASK QUESTIONS OF THE CFO AND A REPRESENTATIVE OF THE ACCOUNTING FIRM. FORM 990, PART VI, SECTION B, LINE 12C A COPY OF THE DISCLOSURE OF THE CONFLICT OF INTEREST POLICY, ALONG WITH AN EXPLANATION AND QUESTIONNIARE IS SENT TO ALL TRUSTEES, EXECUTIVE STAFF, MEDICAL STAFF WITH ADMINISTRATIVE RESPONSIBILITY, SELECTED OTHER EMPLOYEES, AND VOLUNTEERS ANNUALLY. THE QUESTIONNAIRE MUST BE COMPLETED AND RETURNED TO THE CHAIR OF THE BOARD. A REPORT IS SUBMITTED TO THE BOARD CONCERNING ANY POTENTIAL CONFLICTS THAT ARE DISCLOSED. IN SITUATIONS WHERE A POTENTIAL CONFLICT IS FOUND, THE BOARD REVIEWS THE CIRCUMSTANCES BEFORE A VOTE OR DISCUSSION OF MATTERS INVOLVING INTERESTED PARTIES. FORM 990, PART VI, SECTION B, LINE 15 INTEGRATED HEALTHCARE STRATEGIES PROVIDES COMPENSATION CONSULTING SERVICES. SURVEYS ARE DONE PERIODICALLY. ANMED HEALTH TARGETS THE 65% PERCENTILE. THE COMPENSATION COMMITTEE OF THE BOARD APPROVES COMPENSATION FOR ALL OFFICERS, EXECUTIVES, AND DEPARTMENT DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ACCOUNTING OFFICES. FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S EXECUTIVE OFFICES. COPIES OF THE FINANCIAL STATEMENTS ARE AVAILABLE ON A SECURE WEBSITE FOR BONDHOLDERS. PLEASE CONTACT THE EXECUTIVE OFFICES FOR DETAILS. FORM 990, PART VII, LINE 1, BOARD MEMBER COMPENSATION: BOARD MEMBER COMPENSATION: DR. STEPHEN HAND IS COMPENSATED BY A RELATED ORGANIZATION FOR SERVICES RENDERED TO THE HOSPITAL SYSTEM. ALL PAYMENTS TO HIM ON PART VII OF THE FORM 990 ARE FOR MEDICAL SERVICES. DR. MELODY FRANKS IS COMPENSATED BY A RELATED ORGANIZATION FOR SERVICES RENDERED TO THE HOSPITAL SYSTEM. ALL PAYMENTS TO HER ON PART VII OF THE FORM 990 ARE FOR MEDICAL SERVICES. DR. SYED MALIK IS COMPENSATED BY A RELATED ORGANIZATION FOR SERVICES RENDERED TO THE HOSPITAL SYSTEM. ALL PAYMENTS TO HIM ON PART VII OF THE FORM 990 ARE FOR MEDICAL SERVICES. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 36,946,933. MANAGEMENT AND GENERAL EXPENSES 3,494,880. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,441,813. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 19,420,776. MANAGEMENT AND GENERAL EXPENSES 880,607. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,301,383. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 23,627,284. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,627,284. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP CONTRACT 5,027,162. CHANGE IN SPLIT INVESTMENTS -273,223. OTHER CHANGE 6,218,114. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SCHEDULE B RELATED ORGANIZATION CONTRIBUTION THE CONTRIBUTION AMOUNT FROM ANMED HEALTH FOUNDATION AS REPORTED ON SCHEDULE B REFLECTS ALL CONTRIBUTIONS AND ASSETS RELEASED FROM RESTRICTION DURING THE YEAR THAT WERE RELATED TO THE FOUNDATION. ANMED HEALTH SYSTEM 800 N FANT STREET ANDERSON SC 29621 570817544 SUPPORT SC 501(C)(3) LINE 7 N/A 0 THE ANMED HEALTH FOUNDATION 800 N FANT STREET ANDERSON SC 29621 383886017 FUNDRAISING/SUPPORT SC 501(C)(3) LINE 12B, II ANMED HEALTH SYSTEM 0 CANNON MEMORIAL HOSPITAL 123 WG ACKER DRIVE PICKENS SC 29671 570342027 HEALTHCARE SC 501(C)(3) LINE 3 ANMED HEALTH SYSTEM 0 CANNON MEMORIAL HOSPITAL FOUNDATION PO BOX 188 PICKENS SC 29671 570943822 FUNDRAISING/SUPPORT SC 501(C)(3) LINE 7 CANNON MEMORIAL HOSPITAL 0 ANMED HEALTH ENTERPRISES INC 800 N FANT STREET ANDERSON SC 29621 570815011 HOLDING CORPORATION SC N/A C 0 ANMED HEALTH PLAN INC 800 N FANT STREET ANDERSON SC 29621 570811053 MANAGEMENT SERVICES ORGANIZATION SC N/A C 0 ANMED HEALTH SERVICES INC 800 N FANT STREET ANDERSON SC 29621 570741536 HEALTHCARE SC N/A C 0 PIEDMONT HEALTH PARTNERS LLC 800 N FANT STREET ANDERSON SC 29621 611796834 HEALTHCARE SC N/A C 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 1